NPI: 1063529642 · ALICE, TX 78332 · 103T00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 67 | $4K |
| 2019 | 30 | $6K |
| 2020 | 7,026 | $168K |
| 2021 | 34,904 | $662K |
| 2022 | 33,496 | $618K |
| 2023 | 36,744 | $674K |
| 2024 | 19,616 | $370K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 11,349 | 9,319 | $1.76M |
| 99213 | 4,994 | 4,495 | $313K | |
| D0999 | 1,443 | 1,265 | $243K | |
| 99214 | 3,151 | 2,845 | $137K | |
| G0467 | Fqhc visit, estab pt | 782 | 728 | $25K |
| 92507 | 81 | 74 | $8K | |
| 99395 | 30 | 29 | $6K | |
| D0120 | 606 | 538 | $2K | |
| D0274 | 271 | 227 | $2K | |
| D1110 | 149 | 134 | $2K | |
| 97530 | 14 | 14 | $1K | |
| 0012A | 78 | 67 | $908.39 | |
| 0011A | 106 | 88 | $601.92 | |
| 99406 | 1,007 | 872 | $584.53 | |
| 0001A | 13 | 13 | $520.00 | |
| 81025 | 1,346 | 1,274 | $394.21 | |
| 81003 | 1,484 | 1,135 | $386.82 | |
| D0150 | 52 | 43 | $368.19 | |
| 90471 | 286 | 271 | $79.08 | |
| J1050 | Medroxyprogesterone acetate | 552 | 500 | $9.41 |
| 96372 | 620 | 590 | $2.04 | |
| 90756 | 62 | 60 | $0.44 | |
| D1206 | 54 | 54 | $0.20 | |
| 90688 | 16 | 14 | $0.12 | |
| 90661 | 13 | 13 | $0.11 | |
| 92552 | 13 | 12 | $0.11 | |
| 1126F | 7,384 | 6,169 | $0.01 | |
| 1159F | 8,978 | 7,429 | $0.01 | |
| 1160F | 8,200 | 6,801 | $0.01 | |
| 1220F | 7,104 | 5,976 | $0.00 | |
| 3008F | 8,407 | 7,068 | $0.00 | |
| 2000F | 7,932 | 6,677 | $0.00 | |
| 2010F | 8,356 | 7,032 | $0.00 | |
| 2001F | 8,365 | 7,041 | $0.00 | |
| 3079F | 1,038 | 950 | $0.00 | |
| 1000F | 4,562 | 3,748 | $0.00 | |
| 1125F | 870 | 776 | $0.00 | |
| 1036F | 5,681 | 4,731 | $0.00 | |
| 1034F | 722 | 636 | $0.00 | |
| 3074F | 5,017 | 4,208 | $0.00 | |
| 36415 | 1,052 | 932 | $0.00 | |
| 0501F | 763 | 531 | $0.00 | |
| 1031F | 171 | 157 | $0.00 | |
| 3037F | 2,344 | 2,126 | $0.00 | |
| 3075F | 304 | 290 | $0.00 | |
| D1330 | 541 | 491 | $0.00 | |
| 3351F | 276 | 247 | $0.00 | |
| D0601 | 152 | 147 | $0.00 | |
| D0603 | 90 | 84 | $0.00 | |
| 1170F | 260 | 235 | $0.00 | |
| 0241U | 26 | 24 | $0.00 | |
| 97802 | 37 | 26 | $0.00 | |
| 3048F | 24 | 24 | $0.00 | |
| 3028F | 6,658 | 5,627 | $0.00 | |
| 3078F | 4,248 | 3,597 | $0.00 | |
| 3511F | 25 | 24 | $0.00 | |
| 1033F | 3,695 | 3,021 | $0.00 | |
| 99173 | 13 | 12 | $0.00 | |
| D0180 | 16 | 16 | $0.00 |